National Study of Immediate and Delayed Readmissions After Colostomy Creation

Sanaiha, Yas; Xing, Hanning; Morchi, Ravi; Seo, Young Ji; Rudasill, Sarah; Benharash, Peyman

doi:10.1016/j.jss.2019.09.016

Cited by 7 publications

(11 citation statements)

References 24 publications

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“…The readmission rate for colostomy patients has been reported to be 15.3%, with female gender and chronic comorbidities [such as cardiac, respiratory and renal comorbidities, inflammatory bowel disease (IBD) and intestinal ischaemia] associated with a higher readmission rate [11]. Patients who were readmitted earlier following discharge (3-11 days) were more often those who had early complications from surgery (sepsis, wound disruption), whereas patients readmitted later often had complications associated with their underlying comorbidities [11].…”

mentioning

confidence: 99%

Risk factors associated with readmission within 30 days following stoma surgery: Development of a ‘traffic light’ prediction model

et al. 2022

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The 30-day readmission rate after colorectal surgery is between 9% and 25% [1-5]. In the UK, over 190,000 people live with a stoma and it is estimated that there are over 13,500 stoma operations performed annually [6]. Patients who undergo ileostomy or colostomy creation are a subset who have a reportedly higher rate of readmission [1,2,5].Thirty-day readmission rates in those who have an ileostomy formed is reported to be between 25% and 30% [7,9]. The most common cause is dehydration (accounting for 37%-43% of readmissions) [7,8,10]; other causes include intraperitoneal infections, extraperitoneal infections and ileus [7,8]. Demographic factors associated with an increased readmission rate include male gender, age > 65 years, preoperative steroids, postoperative high-output

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confidence: 99%

Risk factors associated with readmission within 30 days following stoma surgery: Development of a ‘traffic light’ prediction model

et al. 2022

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“…Patients who undergo intestinal ostomy surgery are reported to have high rates of rehospitalization. [1][2][3][4]8 Identifying the risk factors that contribute to these readmissions is an important first step to reversing this trend. Therefore, the overall purpose of this study was to determine significant predictors of hospital readmission within 30 or 60 days for patients undergoing intestinal ostomies.…”

Section: Discussionmentioning

confidence: 99%

“…Patients who undergo intestinal ostomy surgery are reported to have high rates of rehospitalization 1–4,8. Identifying the risk factors that contribute to these readmissions is an important first step to reversing this trend.…”

Section: Discussionmentioning

confidence: 99%

“…For patients undergoing ostomy surgery, the risk for hospital readmission is high. In studies that have examined readmissions following colostomy or ileostomy creation, rates are reported in the range of 15% by 30 days, with 28% to 42% of readmissions occurring in the first 12 days following surgery 2,3. Reasons for readmission are multifactorial.…”

Section: Introductionmentioning

confidence: 99%

“…Reasons for readmission are multifactorial. Factors cited in the literature include dehydration from a high-output ileostomy, surgical site infection, anastomotic leaks, the presence of multiple comorbidities, inflammatory bowel disease, discharge disposition to subacute rehabilitation facility, and lack of commercial insurance 2–6…”

Section: Introductionmentioning

confidence: 99%

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Predictors of Hospital Readmission in Patients Undergoing Creation of an Intestinal Ostomy

Cox

Isip

Reid

et al. 2023

Journal of Wound, Ostomy &Amp; Continence Nursing

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PURPOSE:The purpose of this study was to identify predictors of 30-and 60-day hospital readmission in patients undergoing ileostomy or colostomy creation. DESIGN: A retrospective, cohort study. SAMPLE AND SETTING:The study sample comprised 258 patients who underwent ileostomy or colostomy creation from 2018 to 2021 in a suburban teaching hospital in the northeastern United States. The mean age of participants was 62.8 (SD 15.8) years; half were female and half were male. Slightly more than half 50.3% (n = 130) and 49.2% (n =127) underwent ileostomy surgery. METHODS: Data were abstracted from the electronic medical record and included the following variable categories: demographic factors, ostomy-and surgical-related factors, and ostomy-and surgical-related complications. Study outcome measures were readmission within 30 and 60 days from the index hospital admission discharge date. Predictors of hospital readmission were analyzed using bivariate testing, followed by multivariate analysis. RESULTS: Within 30 days of the index hospitalization, 49 patients were readmitted (19%), and 17 patients were readmitted (6.6%) within 60 days. For readmissions within 30 days, anatomical location of the stoma in the ileum and transverse colon as compared to descending/sigmoid colon stomas emerged as significant predictors (odds ratio [OR] 2.2; P = .036; confidence interval [CI] 1.05-4.85; OR 4.5; P = .036; CI 1.17-18.53, respectively). Within 60 days, length of the index hospitalization from 15 to 21 days as compared to shorter lengths of hospitalization emerged as the only significant predictor at this timeframe (OR 6.62; P = .018, CI 1.37-31.84). CONCLUSIONS: These factors provide a basis for identifying patients at higher risk for hospital readmission following ileostomy or colostomy surgery. For patients at higher risk for readmission following ostomy surgery, heightened surveillance and management in the immediate postoperative period may be necessary to avert potential complications.

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Research on the Talent Training Mode for Visual Communication Design—Based on Intelligent Computing via Project in Studio Project

Xie¹

2022

Lecture Notes in Electrical Engineering

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National Study of Immediate and Delayed Readmissions After Colostomy Creation

Cited by 7 publications

References 24 publications

Risk factors associated with readmission within 30 days following stoma surgery: Development of a ‘traffic light’ prediction model

Risk factors associated with readmission within 30 days following stoma surgery: Development of a ‘traffic light’ prediction model

Predictors of Hospital Readmission in Patients Undergoing Creation of an Intestinal Ostomy

Research on the Talent Training Mode for Visual Communication Design—Based on Intelligent Computing via Project in Studio Project

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